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NCDR - Inpatient Registry Overviews - CE
NCDR - CathPCI Registry Overview
NCDR - CathPCI Registry Overview
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Video Transcription
Welcome to this learning activity titled, A Cath PCI Registry Overview. After participating in this learning activity, the learner will be able to define the purpose and background of the Cath PCI Registry and the role of registry governance, identify the significance of coronary artery disease, and identify inclusion criteria for the Cath PCI Registry. The Cath PCI Registry was designed to assess the characteristics, treatments, and outcomes of patients with coronary artery disease who undergo diagnostic and interventional cardiac catheterization procedures. Patient-level data is submitted by participating hospitals on a quarterly basis to the registry so they might receive feedback that helps them optimize the outcomes and management of patients with CAD through the implementation of evidence-based guideline recommendations. The registry reports provide hospitals the feedback they need in a variety of metrics that can support a hospital's internal process and quality improvement efforts. These include, but are not limited to, appropriate use criteria, PCI process and PCI outcomes information, and risk-adjusted benchmark data. The secondary aim of the Cath PCI Registry is to serve as a rich source of data providing opportunities for comparative effectiveness research. The registry inclusion criteria is specific to adult patients who are greater than or equal to 18 years of age, having a diagnostic coronary angiography, and or percutaneous coronary intervention, or a PCI procedure. The Cath PCI Registry was launched in 1998 to assess the patient and procedural outcomes after percutaneous coronary intervention, or PCI. This low-cost, low-risk alternative treatment to coronary artery bypass grafting, or CABG, for patients with obstructive coronary artery disease, CAD, was quickly adopted by hospitals across the country. Voluntarily, centers performing PCI joined the Cath PCI Registry and have continued to participate since its launch. Today, approximately 98% of the market share of Cath labs participate in the registry and the number of international sites increases annually. The registry includes over 15 million diagnostic and 12 million PCI records between the years of 1998 and 2022, presenting a wealth of data to support knowledge growth surrounding our unique patient and procedure population. The Center for Disease Control provides that 370,000 people die annually from CAD and 735,000 people will have a heart attack. The primary treatment recommended for patients having a heart attack is timely PCI. As a nationally recognized surveillance tool, the Cath PCI Registry is well-positioned within the healthcare industry and provides participants weekly access to their data and metric performance through an interactive dashboard and quarterly benchmark feedback through the published outcomes reports. These data support ongoing quality improvement efforts by hospitals performing this life-saving intervention. The Cath PCI Registry has also become a tool for outside stakeholders, healthcare systems, states and payers who use it to assess the incidence and trends of PCI procedures and the quality of care provided by providers and the centers engaged in performing these procedures. It supports numerous research initiatives, informs clinical practice and guideline development. Additionally, registry data can be used to support ACC accreditation services, Cath Lab accreditation and select metrics have been developed for public reporting. Hospitals who engage in public reporting will receive credit towards their score for ranking with the U.S. News and World Report's Best Hospitals in Cardiology and Heart Surgery and their data will appear on the ACC's publicly-facing CardioSmart website supporting patient knowledge. The Cath PCI Registry is governed by a 7-10-member steering committee with a chair, a representative for the Society for Cardiovascular Angiography and Interventions, and ex-officio members from the Cath PCI Registry Research and Publications subcommittees and NCDR Oversight Committee. Committee members have expertise in clinical practice, financial management, quality measurement and improvement and or health system strategy and innovation. The steering committee provides strategic oversight and direction of the registry, guidance for program activities, and they also help identify and prioritize research initiatives. Committee recommendations are provided to the NCDR Oversight Committee, thus helping to inform and influence the direction of NCDR. Thank you for participating in this learning activity titled, A Cath PCI Registry Overview. Now that this learning activity is completed, the learner will be able to define the purpose and background of the Cath PCI Registry and the role of registry governance, identify the significance of coronary artery disease, and identify inclusion criteria for the Cath PCI Registry.
Video Summary
The Cath PCI Registry is a database that collects patient-level data on coronary artery disease (CAD) and cardiac catheterization procedures. Participating hospitals submit data quarterly to receive feedback on optimizing patient outcomes. The registry provides hospitals with metrics for quality improvement, appropriate use criteria, PCI process, and outcomes information. It also serves as a source for comparative effectiveness research. The inclusion criteria for the registry are adult patients (≥18 years) undergoing diagnostic coronary angiography and/or percutaneous coronary intervention (PCI). The registry has been widely adopted and includes a large amount of data from over 15 million diagnostic and 12 million PCI records. It supports quality improvement, research initiatives, clinical practice, guideline development, and public reporting. A steering committee provides oversight and direction for the registry.
Keywords
Cath PCI Registry
coronary artery disease
cardiac catheterization procedures
patient-level data
comparative effectiveness research
patient outcomes
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